饮食失调症患者的睡眠质量:系统回顾和荟萃分析。

IF 11.2 1区 医学 Q1 CLINICAL NEUROLOGY
Giorgia Degasperi , Debora Meneo , Sara Curati , Valentina Cardi , Chiara Baglioni , Nicola Cellini
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引用次数: 0

摘要

进食障碍(ED)是一种心理障碍,其特征是危险的进食行为,包括长期禁食和暴饮暴食。精神障碍合并症(如焦虑和抑郁)以及睡眠困难很常见,可能会影响治疗效果。本研究调查了与健康对照组(HC)相比,ED 患者的睡眠质量、昼夜节律偏好和睡眠障碍,以及 ED 治疗对患者睡眠的影响。在 Pubmed、Web of Science、Medline 和 PsychInfo 上进行的文献检索共纳入了 27 项研究。进行了随机效应分析(饮食失调症样本=711;健康对照组样本=653),并根据 ED 亚组计算了亚组分析:神经性厌食症、神经性贪食症、暴食症。全样本分析显示,患者的生理和主观睡眠质量均较差。分组分析显示,只有神经性厌食症患者的生理睡眠质量较差。两项报告昼夜节律偏好和睡眠障碍的研究分别显示,患者的晚间偏好较高,而患者和健康对照组的呼吸暂停发生率没有差异。一些研究表明,专门的饮食失调治疗(如针对厌食症的认知行为疗法)可改善患者的睡眠质量。尽管这些研究结果表明,与健康对照组相比,进食障碍患者的睡眠质量较差,但进食障碍患者睡眠改变的机制仍有待确定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sleep quality in eating disorders: A systematic review and meta-analysis

Eating disorders (ED) are psychological disorders characterized by dangerous eating behaviours, including protracted fasting and binge eating. Mental disorders comorbidities (e.g., anxiety and depression), as well as sleep difficulties, are common and might interfere with treatment response. This work investigated sleep quality, circadian preferences, and sleep disorders in ED patients compared to healthy controls (HC) and the impact of ED treatment on patients’ sleep.

A literature search on Pubmed, Web of Science, Medline, and PsychInfo included 27 studies. Random effect analyses were performed (sample eating disorders = 711; sample healthy controls = 653) and subgroup analyses were calculated based on the ED subgroups: Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder. Whole sample analyses showed poorer physiological and subjective sleep quality in patients. Subgroup analyses showed that poorer physiological sleep was present only in anorexia nervosa. Two studies reporting circadian preferences and sleep disorders showed higher evening preference in patients and no differences in apnea prevalence between patients and healthy controls, respectively. Some studies suggested that specialized eating disorder treatments (e.g., Cognitive Behavioural Therapy for ED) can improve sleep quality in patients.

Although these findings highlight poorer sleep in patients with ED compared to healthy controls, the mechanisms underlying sleep alterations in eating disorders remain to be identified.

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来源期刊
Sleep Medicine Reviews
Sleep Medicine Reviews 医学-临床神经学
CiteScore
20.10
自引率
3.80%
发文量
107
期刊介绍: Sleep Medicine Reviews offers global coverage of sleep disorders, exploring their origins, diagnosis, treatment, and implications for related conditions at both individual and public health levels. Articles comprehensively review clinical information from peer-reviewed journals across various disciplines in sleep medicine, encompassing pulmonology, psychiatry, psychology, physiology, otolaryngology, pediatrics, geriatrics, cardiology, dentistry, nursing, neurology, and general medicine. The journal features narrative reviews, systematic reviews, and editorials addressing areas of controversy, debate, and future research within the field.
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